MRS. Ellen H Roberts IV

NPI #1134155310 in Jefferson, Georgia

Provider Information

NPI Number
1134155310
Entity Type
Individual
Name
MRS. Ellen H Roberts IV
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Contractor
Enumeration Date
Jun 23, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
3072 OLD PENDERGRASS RD
State
Georgia
ZIP Code
30549-7508
Phone
(706) 367-4377

Specialties & Taxonomy Codes

Specialty
Contractor

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